Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 20768 | CO |
NPI | 1295705333 |
---|---|
Provider Name | Mcarthur O Hill |
First Address | Wheat Ridge, CO 80033-4355 |
Second Address | Wheat Ridge, CO 80033-4355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 30/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01207687 | (05) | CO |
112240100 | (05) | WY |
84073683001 | (05) | NE |
D28261 | (02) | CO |
H141851 | CO BLUE SHIELD ID (01) | CO |